Medexpress Urgent Care - Bridgeport Jerry Dove Drive

LBN: Medexpress Urgent Care, Inc. - West Virginia
Medexpress Urgent Care - Bridgeport Jerry Dove Drive is an health care organization with primary practice located at 120 Medical Park Drive Suite 100, Bridgeport WV 26330. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Ambulatory Health Care Facilities / Urgent Care. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty. Medexpress Urgent Care, Inc. - West Virginia can be contacted via phone (304) 842-3278, or through Kimball, Joy via phone (763) 349-6740.

Contact Information

Primary practice address
120 Medical Park Drive Suite 100 Bridgeport WV 26330
Phone: (304) 842-3278
Fax: (304) 842-6716
Website:
Map and Directions
Authorized official contact:
Name: Kimball, Joy
Phone: (763) 349-6740

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01612 West Virginia
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 01612 West Virginia

Profile Details

NPI number 1316227838
LBN Legal business name Medexpress Urgent Care, Inc. - West Virginia
DBA Doing business as Medexpress Urgent Care - Bridgeport Jerry Dove Drive
Authorized official Kimball, Joy
Entity Organization
Organization subpart 1 No
Enumeration date Aug 29th, 2011
Last updated Apr 10th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316227838 NPPES
West Virginia Other 01612 STATE LICENSE
West Virginia MEDICAID 3810021540 STATE LICENSE

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